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Search › Florida › 101YM0800X

Lisha Jacobsen

NPI 1619582640 · on the registry since 2020 · sole proprietor

Practice

Address
901 Industrial Dr Ste 2183
Wildwood, FL 34785
Phone
(225) 424-7622
Organisation at this address
Kids Central, Inc.
4 Health Nuts Fl Llc
Healing Educational Alternatives For Deserving Students, Llc
Healing Educational Alternatives For Deserving Students, Llc.
Healing Educational Alternatives For Deserving Students, Llc. (Heads)
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-05-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida